NPIMap

Organization Active NPI

Hesham Fakhri, MD PLLC

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1174047674
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HESHAM FAKHRI, MD PLLC
Practice address
2605 W Swann Ave Ste 100
Tampa, FL 33609-4039
Phone
(813) 708-8346
Fax
(866) 270-9831
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hesham Fakhri, MDNPI 1225245178
Title
President
Phone
(813) 708-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

2605 W Swann Ave Ste 100
Tampa, FL 33609-4039

Mailing address

2605 W Swann Ave Ste 100
Tampa, FL 33609-4039
Phone (313) 247-4348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116000899 FL Part B Supplier - Clinic/Group Practice 6103182670 Receives reassigned benefits from 6 practitioners
Practice locations: Sun City Center, FL; Wesley Chapel, FL; Tampa, FL

National Provider Directory

National Provider Directory

Locations

1901 Haverford Ave
Ste 111
Sun City Ctr, FL 33573
Phone (813) 755-3500

301 W Platt St
Ste A428
Tampa, FL 33606

508 S Habana Ave
Ste 160
Tampa, FL 33609
Phone (813) 708-8346

2106 Ashley Oaks Cir
Zephyrhills, FL 33544
Phone (813) 347-9455

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1174047674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "313-247-4348",
            "fax_number": "866-270-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-708-8346",
            "fax_number": "866-270-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HESHAM FAKHRI, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "FAKHRI",
        "authorized_official_first_name": "HESHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-708-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.